create custom form form collect some kit info

i want to create form like this and when user submit then one api will call and i got all the info so that i can store that into metafields

@imeuswe Hope you are doing well.

the form will be on a separate page or on the product page? Also, could you please share your store URL?

On home page of my shopify website, there is a link - Activate.

When user clicks on this link , the form opens up.

I want to create that form and ask user to fill it.

When user fills details, I want to call api and store all the details entered by user in meta fields.

Due to client confidentiality , I am unable to share the url .Please help.